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JACKSON CHIROPRACTIC CLINIC PC
NPI 1073662680
Chiropractor in Edmond, OK

Active since January 10, 2007
3801 S BOULEVARD ST, EDMOND, OK 73013(405) 330-6655(405) 340-3531 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Chiropractic Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON CHIROPRACTIC CLINIC PC (NPI 1073662680) is a healthcare organization registered as a chiropractor in Edmond, Oklahoma and active in the NPI registry since January 2007. The organization lists Troy W Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1073662680
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJACKSON CHIROPRACTIC CLINIC PC
Location Address3801 S BOULEVARD STEdmond, OK 73013-5479
Mailing Address3801 S Boulevard StEdmond, OK 73013-5479 · (405) 330-6655 · Fax (405) 340-3531
Phone(405) 330-6655
Fax(405) 340-3531
Organization SubpartNo
Authorized OfficialTroy W JacksonPresident · (405) 330-6655
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073662680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3241
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3801 S BOULEVARD ST, Edmond, OK 73013
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Chiropractic Clinic PC's NPI number?

The NPI number for Jackson Chiropractic Clinic PC is 1073662680. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Jackson Chiropractic Clinic PC located?

Jackson Chiropractic Clinic PC is located at 3801 S Boulevard St, Edmond, OK 73013. The listed phone number is (405) 330-6655.

What is Jackson Chiropractic Clinic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jackson Chiropractic Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.